NPI | 1063524171 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE STEINHOFF Treasurer 269-982-4237 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-10-09 |